PMH-C Maternal Well-being & Emotional Support 3

Question 1

A client with a history of bipolar I disorder becomes pregnant. What is the primary clinical concern regarding her perinatal risk?

Accepted Answer

High risk of postpartum psychosis and mood episode recurrence

Answer

Women with bipolar I disorder have a significantly elevated risk of postpartum psychosis and mood episode recurrence, requiring close psychiatric monitoring throughout the perinatal period.

Question 2

Which of the following is a recognized risk factor for developing perinatal anxiety disorders specifically (not depression)?

Accepted Answer

History of miscarriage or pregnancy loss

Answer

A history of pregnancy loss is a particularly strong risk factor for perinatal anxiety, as it often leads to hypervigilance and fear of recurrence in subsequent pregnancies.

Question 3

During a postpartum home visit, a provider observes a mother who appears disheveled, speaks rapidly about receiving special messages from the television, and has not slept in 3 days. The priority intervention is:

Accepted Answer

Arrange immediate psychiatric evaluation and ensure infant safety

Answer

The presentation of psychotic symptoms, grandiosity, and severe sleep deprivation is consistent with postpartum psychosis, a psychiatric emergency requiring immediate evaluation and infant safety planning.

Question 4

A client at 10 weeks postpartum discloses she experienced sexual trauma prior to pregnancy. How might this history specifically affect her postpartum experience?

Accepted Answer

It may increase risk of PTSD symptoms, particularly if birth felt out of her control

Answer

Prior trauma history increases vulnerability to postpartum PTSD, particularly when birth experiences involve loss of control, invasive procedures, or perceived powerlessness.

Question 5

Interpersonal therapy (IPT) adapted for postpartum depression primarily targets which domain?

Accepted Answer

Role transitions and relationship changes associated with new parenthood

Answer

IPT for postpartum depression focuses on navigating the role transition to parenthood, grief, and interpersonal disputes that commonly contribute to postpartum mood difficulties.

(PMH-C) Perinatal Mental Health Certification Practice Test

(PMH-C) Perinatal Mental Health Certification Practice Test

PMH-C Maternal Well-being & Emotional Support 3